Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.98 / $64.98 / $64.98	Facility	26	$64.98	$64.98	$64.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.06 / $475.00 / $522.50	Professional		$212.06	$475.00	$522.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.56 / $140.00 / $154.00	Professional	26	$56.56	$140.00	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $155.50 / $335.00 / $368.50	Professional	TC	$155.50	$335.00	$368.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.89 / $539.11 / $673.89	Professional		$440.89	$539.11	$673.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.99 / $144.28 / $180.35	Professional	26	$117.99	$144.28	$180.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.89 / $394.83 / $493.54	Professional	TC	$322.89	$394.83	$493.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $486.68 / $2,821.00	Professional		$315.68	$486.68	$2,821.00
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $80.61 / $124.32 / $625.77	Professional	26	$80.61	$124.32	$625.77
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $235.04 / $362.36 / $2,451.15	Professional	TC	$235.04	$362.36	$2,451.15
Midlands Facility/Professional Facility Modifier 26 Low / Median / High Price $212.38 / $212.38 / $212.38	Facility	26	$212.38	$212.38	$212.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $488.88 / $590.41 / $871.00	Professional		$488.88	$590.41	$871.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.48 / $431.31 / $591.66	Professional		$323.48	$431.31	$591.66
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $81.52 / $107.24 / $122.26	Professional	26	$81.52	$107.24	$122.26
Sanford Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $240.19 / $322.16 / $479.59	Professional	TC	$240.19	$322.16	$479.59
United Facility/Professional Professional Modifier Low / Median / High Price $278.82 / $486.68 / $608.50	Professional		$278.82	$486.68	$608.50
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.48 / $124.32 / $141.06	Professional	26	$75.48	$124.32	$141.06
United Facility/Professional Professional Modifier TC Low / Median / High Price $203.33 / $362.36 / $474.02	Professional	TC	$203.33	$362.36	$474.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $511.40 / $601.70 / $601.70	Professional		$511.40	$601.70	$601.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $140.69 / $165.50 / $165.50	Professional	26	$140.69	$165.50	$165.50
Wellmark Facility/Professional Professional Modifier TC Low / Median / High Price $370.70 / $436.10 / $436.10	Professional	TC	$370.70	$436.10	$436.10